| NPI | 1487005674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A162518) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A162518) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208D00000X General Practice (Licence: CA A162518) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2024-07-03 |